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DECISION No

DECISION No. 77/2002/QD-TTg OF JUNE 17, 2002 APPROVING THE PROGRAM ON PREVENTING AND COMBATING SOME NON-CONTAGIOUS DISEASES IN THE 2002-2010 PERIOD

THE PRIME MINISTER

Pursuant to the December 25, 2001 Law on Organization of the Government;

Pursuant to the June 30, 1989 Law on Protection of the People�s Health;

Pursuant to the Prime Minister�s Decision No. 35/2001/QD-TTg of March 19, 2001 approving the "Strategy for protection of and care for the people�s health in the 2001-2010 period";

At the proposal of the Minister of Health,

DECIDES:

Article 1.- To approve the "Program on preventing and combating some non-contagious diseases in the 2002-2010 period", comprising cardiovascular diseases, cancer, diabetes and mental health disorder (epilepsy and depression), with the following major contents:

1. Objectives:

To reduce the morbidity and mortality rates of sufferers from non-contagious diseases, comprising cardiovascular diseases, cancer, diabetes and mental health disorder, concretely as follows:

a) To reduce the morbidity, complication and mortality rates of sufferers from cardiovascular diseases: To reduce the morbidity and mortality frequency of cardiovascular diseases as compared with the survey results:

- To reduce by 5-10% the number of patients suffering from rheumatic valvulopathy;

- To reduce by 15-20% the rate of cerebro-vascular catastrophes among hypertension patients;

- To reduce by 5-10% the number of patients dead due to heart attack;

- To increase by 50% the number of patients having their hypertension managed and treated;

- To increase by 30-40% the number of patients having their heart failure supervised and treated.

b) To reduce the morbidity and mortality rates of cancer patients and to improve the quality of their life:

- To reduce the morbidity rates of tobacco-related cancers to 30% as compared with the figures of 2000;

- To effect the vaccination against B hepatitis for 100% of newborns;

- To reduce the mortality rates of sufferers from some types of cancer like breast cancer, cervix cancer, palate cancer, and colon-rectum cancer;

- To reduce the rate of cancer patients sent to specialized establishments at late period to 50% from 80%;

c) To reduce the morbidity, complication and mortality rates of diabetes patients:

- To reduce by 50% the elements that cause the danger of diabetes development among the community;

- To treat and make a list of diabetes patients for monitoring and guidance so that 100% of detected patients can control their ailments by themselves.

d) To reduce the morbidity and mortality rates as well as the social affect of mental diseases:

- To reduce the morbidity and recrudescence rates of epilepsy, and the social disturbance caused by epileptic patients:

+ To reduce the recrudescence rate to below 30% as compared with 2000�s figure; 100% of recrudesced patients shall be treated;

+ To reduce the rate of those who cause social disturbance to below 30% (12,150 patients) as compared with 2000�s figure (40,500 patients);

+ To reduce the rate of those who cause harms to the society to below 40% (16,200 patients) as compared with 2000�s figure (40,500 patients);

+ To reduce the rate of those who suffer from chronic diseases or lose their working capacity to below 20% (9,000 patients) as compared with 2000�s figure (270,000 patients).

e) To reduce the rates of morbidity of, and suicide due to, depression:

- To reduce the recrudescence rate to below 20% of the total number of depression patients (in 2000, the depression patients represented 2.47% of the population);

- To reduce the suicide rate to below 15% of the total number of depression patients;

- To reduce the rate of those who suffer from chronic diseases or lose their working capacity to below 50% of the total number of depression patients.

2. Solutions:

a) To consolidate the network of preventing and combating basic non-contagious diseases at the central, provincial as well as district and communal levels.

b) To integrate the activities of the programs on preventing and combating diseases belonging the group of basic non-contagious diseases with a view to saving to the utmost the human, material and financial sources and raising the operation efficiency of the Strategy.

c) To enhance the application of the measures of prophylaxis and health education.

d) To detect diseases soon and to improve the effectiveness of treatment, care and functional rehabilitation for patients.

e) To conduct epidemiological research, monitoring, surveillance and assessment, and exchange information thereon.

f) To train and develop professional personnel specialized in the field of non-contagious disease prevention and combat; to propagate and guide people to understand and apply measures to prevent and combat some non-contagious diseases.

g) To formulate policies in the field of non-contagious disease prevention and combat.

h) To mobilize the ministries, branches and community to actively and comprehensively take part therein.

i) To expand and raise the efficiency of international cooperation in the field of non-contagious disease prevention and combat.

3. Implementation funding:

Funding for the implementation of the Program shall come from the following sources:

- The State budget;

- Aids from organizations at home and abroad;

- Borrowed capital from the ODA source and development support funds at home and abroad;

- Contributions of patients in the forms of hospital fees and health insurance premiums.

- Other sources (if any).

Article 2.- The Ministry of Health shall have to coordinate with the Ministry of Planning and Investment, the Ministry of Finance and the concerned ministries and branches in formulating the implementation plan, working out annual plans, and organizing, guiding, inspecting, and supervising the implementation thereof; make annual reports to the Prime Minister on the implementation tempo and results, and organize the preliminary and sum-up reviews after 5 years and 10 years.

Article 3.- This Decision takes effect 15 days after its signing.

Article 4.- The ministers, the heads of the ministerial-level agencies, the heads of the agencies attached to the Government and the presidents of the People�s Committees of the provinces and centrally-run cities shall have to implement this Decision.

For the Prime Minister

Deputy Prime Minister
PHAM GIA KHIEM